Keira Rose Proctor in Concord - Physician Assistant

Keira Rose Proctor - NPI 1912190950

Keira Rose Proctor is a Physician Assistant in Concord, New Hampshire. Keira Rose Proctor practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Keira Rose Proctor is 1912190950. The last update date is 2023-08-09.

Keira Rose Proctor's current location address is 248 Pleasant St Ste 2800, Concord, New Hampshire. You can contact this provider via phone number 6032245200 and fax number 6032277559. The mailing address for Keira Rose Proctor is 248 Pleasant St Ste 2800, Concord, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Keira Rose Proctor
Address 248 Pleasant St Ste 2800, Concord, New Hampshire
Phone Number 6032245200
Fax Number 6032277559
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1912190950
Provider Enumeration Date 2007-08-23
Last Updated Date 2023-08-09

Provider Mailing Address Detail

Address 248 Pleasant St Ste 2800
City Concord
State New Hampshire (NH)
Post Code 33017529
Phone Number 6032245200
Fax Number 6032277559

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2353
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2193 MA MEDICARE PTAN

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FAQs about Keira Rose Proctor

What is the unique identification code assigned to Keira Rose Proctor by the Centers for Medicare & Medicaid Services?

The Keira Rose Proctor has been issued the NPI (National Provider Identifier) 1912190950. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Keira Rose Proctor is located?

The Keira Rose Proctor is situated at the following address: 248 Pleasant St Ste 2800, Concord, NH, 33017529.

What is Keira Rose Proctor's area of expertise and its corresponding taxonomy classification?

The Keira Rose Proctor's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912190950 to Keira Rose Proctor?

The Centers for Medicare & Medicaid Services originally issued the 1912190950 to Keira Rose Proctor on 2007-08-23.

As of what date were the details related to Keira Rose Proctor most recently updated or revised?

The information pertaining to Keira Rose Proctor, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-09.

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